SHELLY AGARWAL (MD) – Obstetrics & Gynecology Physician, NPI 1225284078
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SHELLY AGARWAL (MD)
17495 LA GRANGE RD
TINLEY PARK, IL 604877581
Phone: (708) 226-7000
Fax: (708) 226-7170
Type: Mailing
12251 S 80TH AVE
PALOS HEIGHTS, IL 604631290
Phone: (708) 923-4000
Fax: (708) 923-4816
Type: Location
676 N Saint Clair St Ste 1800
Chicago, IL 606112960
Phone: (312) 573-3700
Fax: (312) 573-3705
Type: Location
1111 6th Ave
Des Moines, IA 503142613
Phone: (515) 247-4240
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 50 Open Payments records for all available years, with a total value of $23,185.
Total Amount is formed as General ($23,185) + Research ($0) + Ownership ($0) = $23,185.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Organon LLC ($22,559).
Total Amount
$23,185
General + Research + Ownership
Payments
50
Total payment records
General Amount
$23,185
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organon LLC | $22,559 |
| Hologic Sales and Service, LLC | $301 |
| Myriad Women's Health, Inc. | $195 |
| CooperSurgical, Inc. | $33 |
| MAYNE PHARMA COMMERCIAL LLC | $28 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-10-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-09-30 (981 days ago).
Enrollment records
2
Earliest due date
2023-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120917000516 | I | Obstetrics/Gynecology | IL | 2023-09-30 |
| I20241028002126 | I | Obstetrics/Gynecology | IA | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60487)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| E N D O C R I N O L O G Y | IL | |
| Physician Assistant | IL | |
| Internal Medicine | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| Physical Therapist In Private Practice | IL |
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